Publications: Germany

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In Amenable Mortality—Deaths Avoidable Through Health Care—Progress in the U.S. Lags That of Three European Countries

August 29, 2012 - Compared with France, Germany, and the United Kingdom, the United States has a higher rate of potentially preventable deaths. Moreover, the pace of improvement in preventing deaths that could have been avoided with timely and effective health care is slowest in the U.S., according to this Commonwealth Fund–supported analysis.

In the Literature

Realizing Health Reform's Potential—Oceans Apart: The Higher Health Costs of Women in the U.S. Compared to Other Nations, and How Reform Is Helping

July 13, 2012 - Twenty percent of U.S. women ages 19 to 64 were uninsured in 2010, up from 15 percent in 2000. This issue brief examines the implications of poor coverage for women in the United States by comparing their experiences to those of women in 10 other industrialized nations, all of which have universal health insurance systems.

Issue Brief

Moving Forward with Wellness Incentives Under the Affordable Care Act: Lessons from Germany

May 29, 2012 - This brief uses data from a previously published evaluation of wellness programs run by one of Germany's largest sickness funds to draw lessons about the potential benefits and pitfalls of these programs as they gain momentum in the United States under the Affordable Care Act.

Issue Brief

Explaining High Health Care Spending in the United States: An International Comparison of Supply, Utilization, Prices, and Quality

May 3, 2012 - This Commonwealth Fund analysis of 13 industrialized countries finds the U.S. spends far more on health care than any other country. However this high spending cannot be attributed to higher income, an older population, or greater supply or utilization of hospitals and doctors. Instead, the findings suggest the higher spending is more likely due to higher prices and perhaps more readily accessible technology and greater obesity.

Issue Brief

Incentivizing Quality Care Through Pay-for-Performance

April 5, 2012 - Alternative payment models have gained momentum in the U.S. and abroad to align health care providers' incentives with value rather than volume.

International Innovation

Using Comparative Effectiveness Research to Inform Policymaking

April 5, 2012 - As the comparative effectiveness research (CER) becomes more widely available in the U.S., decision-makers can learn from international experiences using CER to drive health care toward improved quality and value.

International Innovation

Bundling Payments to Promote Integration and Efficiency

April 4, 2012 - Bundled payments—also known as episode-based payment or case rates—have been proposed as a way to encourage coordination across providers and to promote more efficient care. Other countries have also experimented with bundled payments, most notably the Netherlands and Germany. Their experiences can inform U.S. efforts to reform health system payment and drive improvement.

International Innovation

Ensuring Access to After-Hours Care

April 2, 2012 - In recent years, several countries, including the Netherlands, Denmark, and Germany, have sought to expand access to after-hours care—often by transitioning from the traditional approach, in which practices designate someone to be "on-call," to group-based or regional approaches. As the U.S. seeks to strengthen primary care, particularly through the development of patient-centered medical homes, it has a great deal to learn from these international models.

International Innovation

International Perspectives on Patient Engagement: Results from the 2011 Commonwealth Fund Survey

March 29, 2012 - An international survey of adults with complex health care needs found wide variations in the degree to which patients are engaged in their own care, from self-managing a health condition to actively participating in treatment decisions.

In the Literature

Leadership and Governance in Seven Developed Health Systems

March 20, 2012 - Researchers compared the leadership and governance arrangements in seven nations with advanced health systems: Australia, England, Germany, the Netherlands, Norway, Sweden, and Switzerland.

In Brief

Paying for "End-of-Life" Drugs in Australia, Germany, and the United Kingdom: Balancing Policy, Pragmatism, and Societal Values

January 19, 2012 - This brief analyzes British, Australian,and German policies on coverage of "end-of-life" drugs.

Issue Brief

Multinational Comparisons of Health Systems Data, 2011

December 27, 2011 - This updated Commonwealth Fund chartbook uses data collected by the Organization for Economic Cooperation and Development to compare the health care systems and performance across several industrialized countries.


New 2011 Survey of Patients with Complex Care Needs in Eleven Countries Finds That Care Is Often Poorly Coordinated

November 9, 2011 - Adults with complex medical conditions, including those with serious or chronic illness, injury, or disability, benefit from receiving their care from a medical home, The Commonwealth Fund's latest international health policy survey finds.

In the Literature

International Profiles of Health Care Systems: Australia, Canada, Denmark, England, France, Germany, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States

November 9, 2011 - This publication presents overviews of the health care systems of 14 countries—Australia, Canada, Denmark, England, France, Germany, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States.

Fund Report

Disease-Management Programs Can Improve Quality of Care for the Chronically Ill, Even in a Weak Primary Care System: A Case Study from Germany

November 3, 2011 - Enhancing the coordination and quality of care for chronically ill patients is a challenge across health care systems. This issue brief looks at a the results of a nationally implemented German disease-management program.

Issue Brief